Outpatient Registered Nurse - RN - Dialysis

About the role

The professional registered nurse Outpatient RN CAP 5 is a designation in the Clinical Advancement Program (CAP) attained through advancement from RN CAP 4. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

Responsibilities

• Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with another Registered Nurse, in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, and state and federal regulations.
• Perform ongoing, systematic collection and analysis of patient data pre-, during, and post-hemodialysis treatment for assigned patients; document in the patient medical record; make adjustments or modifications to treatment plan as indicated; and notify Team Leader, Charge Nurse, Supervisor, or Physician as needed.
• Assess, collaborate, and document patient/family basic learning needs to provide initial and ongoing education to patients and family.
• Direct and provide, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.
• Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
• Initiate or assist with emergency response measures.
• Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees by setting examples of appropriate behavior, work habits, and attitudes toward patients, co-workers, Supervisors, and the company at all organizational levels.
• Ensure correct laboratory collection, processing, and shipping procedures are performed; reschedule missed or insufficient laboratory collections.
• Identify expected outcomes, document, and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensure patient awareness related to transplant and treatment modality options.
• Serve as a lead for educational or quality improvement projects at the facility, area, regional, division, group, or corporate level as directed or approved by Supervisor.
• Complete CAP requirements to maintain level.
• Perform all other duties as assigned by Supervisor.

Requirements

Education and Licensure

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in the state of employment.

Experience and Skills

• Minimum of 12 years Nephrology Nursing experience as an RN.
• National certification in Dialysis Nursing (CDN), Nephrology Nursing (CNN), or Certified Hemodialysis Nurse (CHN).
• Chronic/acute hemodialysis experience (preferred).

Supervision Requirements

• Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all of the following: 3 months experience in chronic/acute hemodialysis as an RN.

Physical Demands and Working Conditions

• Direct patient care regularly involving heavy lifting, moving of patients, and assisting with ambulation; equipment aids and/or coworkers may provide assistance.
• Frequent, prolonged periods of standing; ability to bend over required.
• Occasionally required to move, with assistance, machines and equipment up to 200 lbs., and lift chemical and water solutions up to 30 lbs. as high as 5 feet.
• Work environment characteristic of a health care facility with air temperature control and moderate noise levels.
• Potential exposure to infectious and contagious diseases/materials.
• Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
• May require travel to training sites or other facilities.
• May be asked to provide essential functions in other locations with the same physical demands and working conditions.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Pay

Hourly Rate: $50.00 – $84.00. The rate depends on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Non-bonus eligible positions do not include performance-based bonuses; bonus-eligible positions offer potential for performance-based bonuses depending on company and individual performance.

Benefits

• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off
• Parental leave
• Performance-based bonuses (for bonus-eligible positions only)